[2] 侯建玺,谢书强,王宏鑫,等.前臂毁损离断异位寄养二期回植再造一例[J].中华手外科杂志,2012,28(2):186-187.
[3] 潘勇,朱辉,滕道练,等.游离腕横纹皮瓣在桥接复杂性断指再植中的应用[J].实用手外科杂志,2019,33(2):143-146.
[4] 李军,张大伟,赵广跃,等.股前外侧Flow-through皮瓣修复四肢Gustilo Ⅲc损伤的临床研究[J].中华显微外科杂志,2013,36(4):331-334.
[5] 戚剑,朱庆棠,王东,等.Flow-through股前外侧游离皮瓣急诊修复上肢大面积软组织和主干血管缺损[J].广东医学,2015,36(15):2293-2294.
[6] 程国良,潘达德,杨志贤,等.再植双侧断指的体会[J] ,手外科杂志,1986,2(1):2-4.
[7] 吴晓荣,施明宏,郑能方,等.股前外侧皮瓣移植修复四肢软组织缺损580例临床分析[J].实用手外科杂志,2018,32(4):429-431+436.
[8] 王才波,金德镐,胡召坤,等.肢体毁损伤保肢治疗的体会[J].实用手外科杂志,2019,33(4):430-433.
[9] 顾立强,刘小林,汪华侨.见微知著震古烁今——广东省显微外科的发展[J].中华显微外科杂志,2014,37(1):5-9.
[10] 吴庆,张伟,邓铮,吴凯.脉冲冲洗器在四肢清创术中的应用效果[J].实用临床医学,2013,14(1):38-39.
[11] 顾玉东,王澍寰,侍德.手外科手术学 [M].上海:复旦大学出版社,2010:731-733.
[12] 关术,李日绍,林广宜,等.组合静脉移植在血管毁损性断指再植中的应用[J].现代医院,2015,15(9):61-63
[13] 余东,林世磅,关术,等.自体Y形静脉移植在断掌断指再植术中的应用[J].现代医院,2007,7(6):67.
[14] 郑璇,徐建红,龚孝淑.音乐疗法的进展和应用现状[J].解放军护理杂志,2003,20(7):42-43.
[15] 韩芳,郑大伟,惠悦华,等.加速康复外科理念在大面积Flow-through静脉皮瓣护理中的应用[J].中华显微外科杂志,2019,42(5):509-511.
[16] 刘晓芳.断指再植术后发生血管危象的原因分析及处理对策[J].中华显微外科杂志,2005,28(3):274-276.
[17] 余守章,许学兵.超前镇痛有效性争议及预防性镇痛的研究新进展[J].临床麻醉学杂志,2008,24(6):545-547.
[18] 何旭,侯书健,赵靖,等.断指再植术后血管危象的多因素分析[J].中华手外科杂志,2007,23(1):38-40.","bibtexUrl_cn":"//www.pitakata.com/xuebao/CN/article/getTxtFile.do?fileType=BibTeX&id=113","abstractUrl_en":"http://xuebao.sdfmu.edu.cn/EN/10.3969/j.issn.1004-7115.2021.03.005","qi":"3","id":113,"nian":2021,"bianHao":"1630483673059-1438099736","zuoZheEn_L":"GUAN Shu","juanUrl_en":"http://xuebao.sdfmu.edu.cn/EN/Y2021","clcIndexList_en":[{"code":"R616.2","text":""}],"shouCiFaBuRiQi":"2021-09-01","qiShiYe":"181","received":"2020-11-20","qiUrl_cn":"//www.pitakata.com/xuebao/CN/Y2021/V42/I3","lanMu_cn":"论著","pdfSize":"1334","zuoZhe_CN":"关术","risUrl_cn":"//www.pitakata.com/xuebao/CN/article/getTxtFile.do?fileType=Ris&id=113","title_cn":"毁损离断肢体再植21例","doi":"10.3969/j.issn.1004-7115.2021.03.005","jieShuYe":"184","keywordList_en":["amputation","replantation","damage"],"endNoteUrl_cn":"//www.pitakata.com/xuebao/CN/article/getTxtFile.do?fileType=EndNote&id=113","zhaiyao_en":"Objective: To analyze the key points and summarize the key techniques of successful replantation of severed limbs. Methods: From January 2010 to August 2020, 21 patients with limb disfigurement were treated, including 1 case of forearm disfigurement, 2 cases of severed palm, 1 case of severed palm combined with amputated finger and 17 cases of amputated fingers. Scientific design of surgery and division of labor were carried out to improve the efficiency of surgery and the implementation of surgery. Results: Iischemic necrosis occurred in one case of small finger injury, and all the rest were replanted successfully, which significantly shortened the operation time, reduced the operation risk, increased the success rate of replantation and reduced the complications of the patients. Conclusion: The reasonable and scientific design of the operation plan combined with superb microsurgical technique can improve the efficiency of replantation of damaged and severed limbs.","bibtexUrl_en":"http://xuebao.sdfmu.edu.cn/EN/article/getTxtFile.do?fileType=BibTeX&id=113","abstractUrl_cn":"http://xuebao.sdfmu.edu.cn/CN/10.3969/j.issn.1004-7115.2021.03.005","zuoZheCn_L":"关术","juanUrl_cn":"http://xuebao.sdfmu.edu.cn/CN/Y2021","lanMu_en":"","clcIndexList_cn":[{"code":"R616.2","text":""}],"qiUrl_en":"http://xuebao.sdfmu.edu.cn/EN/Y2021/V42/I3","zuoZhe_EN":"GUAN Shu","risUrl_en":"http://xuebao.sdfmu.edu.cn/EN/article/getTxtFile.do?fileType=Ris&id=113","title_en":"Replantation of amputated limbs in 21 cases","hasPdf":"true"},"authorNotes_cn":["关术,副主任医师,主要从事手外科、显微外科工作,E-mail:zxjjhv@163.com。"],"authorList_en":[{"deceased":false,"name_cn":"关术","name_en":"GUAN Shu"}]}">

毁损离断肢体再植21例

关术

betway必威登陆网址 (betway.com )学报››2021, Vol. 42››Issue (3): 181-184.

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betway必威登陆网址 (betway.com )学报 ›› 2021, Vol. 42 ›› Issue (3) : 181-184. DOI: 10.3969/j.issn.1004-7115.2021.03.005
论著

毁损离断肢体再植21例

  • 关术
作者信息 +

Replantation of amputated limbs in 21 cases

  • GUAN Shu
Author information +
文章历史 +

摘要

目的 回顾性分析毁损性离断肢体再植修复成功处理要点,总结关键技巧。方法 2010年1月至2020年8月,收治肢体毁损性离断患者21例,其中前臂毁损离断1例,断掌2例,断掌合并断指1例,断指17例,采用统筹安排方法,利用超级显微外科技术,科学设计手术及分工,提高手术效率,实施手术。结果 1例小指毁损离断伤发生缺血坏死,其余全部离断肢体再植成功,明显缩短手术时间,降低手术风险,提高再植成功率,减少患者并发症。结论 合理科学设计手术方案,结合高超显微外科技术,可提高毁损离断肢体再植手术效率。

Abstract

Objective: To analyze the key points and summarize the key techniques of successful replantation of severed limbs. Methods: From January 2010 to August 2020, 21 patients with limb disfigurement were treated, including 1 case of forearm disfigurement, 2 cases of severed palm, 1 case of severed palm combined with amputated finger and 17 cases of amputated fingers. Scientific design of surgery and division of labor were carried out to improve the efficiency of surgery and the implementation of surgery. Results: Iischemic necrosis occurred in one case of small finger injury, and all the rest were replanted successfully, which significantly shortened the operation time, reduced the operation risk, increased the success rate of replantation and reduced the complications of the patients. Conclusion: The reasonable and scientific design of the operation plan combined with superb microsurgical technique can improve the efficiency of replantation of damaged and severed limbs.

关键词

断(肢)指/断肢/再植/毁损性

Key words

amputation/replantation/damage

引用本文

导出引用
关术.毁损离断肢体再植21例[J]. betway必威登陆网址 (betway.com )学报. 2021, 42(3): 181-184 https://doi.org/10.3969/j.issn.1004-7115.2021.03.005
GUAN Shu.Replantation of amputated limbs in 21 cases[J]. Journal of ShanDong First Medical University&ShanDong Academy of Medical Sciences. 2021, 42(3): 181-184 https://doi.org/10.3969/j.issn.1004-7115.2021.03.005
中图分类号: R616.2

参考文献

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[3] 潘勇,朱辉,滕道练,等.游离腕横纹皮瓣在桥接复杂性断指再植中的应用[J].实用手外科杂志,2019,33(2):143-146.
[4] 李军,张大伟,赵广跃,等.股前外侧Flow-through皮瓣修复四肢Gustilo Ⅲc损伤的临床研究[J].中华显微外科杂志,2013,36(4):331-334.
[5] 戚剑,朱庆棠,王东,等.Flow-through股前外侧游离皮瓣急诊修复上肢大面积软组织和主干血管缺损[J].广东医学,2015,36(15):2293-2294.
[6] 程国良,潘达德,杨志贤,等.再植双侧断指的体会[J] ,手外科杂志,1986,2(1):2-4.
[7] 吴晓荣,施明宏,郑能方,等.股前外侧皮瓣移植修复四肢软组织缺损580例临床分析[J].实用手外科杂志,2018,32(4):429-431+436.
[8] 王才波,金德镐,胡召坤,等.肢体毁损伤保肢治疗的体会[J].实用手外科杂志,2019,33(4):430-433.
[9] 顾立强,刘小林,汪华侨.见微知著震古烁今——广东省显微外科的发展[J].中华显微外科杂志,2014,37(1):5-9.
[10] 吴庆,张伟,邓铮,吴凯.脉冲冲洗器在四肢清创术中的应用效果[J].实用临床医学,2013,14(1):38-39.
[11] 顾玉东,王澍寰,侍德.手外科手术学 [M].上海:复旦大学出版社,2010:731-733.
[12] 关术,李日绍,林广宜,等.组合静脉移植在血管毁损性断指再植中的应用[J].现代医院,2015,15(9):61-63
[13] 余东,林世磅,关术,等.自体Y形静脉移植在断掌断指再植术中的应用[J].现代医院,2007,7(6):67.
[14] 郑璇,徐建红,龚孝淑.音乐疗法的进展和应用现状[J].解放军护理杂志,2003,20(7):42-43.
[15] 韩芳,郑大伟,惠悦华,等.加速康复外科理念在大面积Flow-through静脉皮瓣护理中的应用[J].中华显微外科杂志,2019,42(5):509-511.
[16] 刘晓芳.断指再植术后发生血管危象的原因分析及处理对策[J].中华显微外科杂志,2005,28(3):274-276.
[17] 余守章,许学兵.超前镇痛有效性争议及预防性镇痛的研究新进展[J].临床麻醉学杂志,2008,24(6):545-547.
[18] 何旭,侯书健,赵靖,等.断指再植术后血管危象的多因素分析[J].中华手外科杂志,2007,23(1):38-40.

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